Continuity of Care Document

This profile was originally based on the Continuity of Care Document (CCD) Release 1.1 which itself was derived from HITSP C32 and CCD Release 1.0.

The Continuity of Care Document (CCD) profile represents a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. It provides a means for one healthcare practitioner, system, or setting to aggregate all of the pertinent data about a patient and forward it to another to support the continuity of care.

The primary use case for the CCD is to provide a snapshot in time containing the germane clinical, demographic, and administrative data for a specific patient. The key characteristic of a CCD is that the Composition.event.code is constrained to "PCPR". This means it does not function to report new services associated with performing care. It reports on care that has already been provided. The CCD provides a historical tally of the care over a range of time and is not a record of new services delivered.

More specific use cases, such as a Discharge Summary, Transfer Summary, Referral Note, Consultation Note, or Progress Note, are available as alternative profiles.

resourceCompositionactiveView in C-CDA on FHIR IG
Profile Name
ContinuityOfCareDocument
Base Definition
Derivation
constraint

Differential Elements (122)

Constraints and modifications from the base definition

PathCardinalityType(s)Must SupportDetails
Composition----
Composition.type--Yes-
Composition.event1..1-Yes-
Composition.event.code----
Composition.event.period1..*---
Composition.event.period.start1..*---
Composition.event.period.end1..*---
Composition.section----
Composition.section
Slice: allergies_and_intolerances_section
1..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry--Yes-
Composition.section.entry
Slice: allergy_entry
-
Reference
Yes
Target: us-core-allergyintolerance
Composition.section
Slice: medications_section
1..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: medication_entry
-
Reference
Yes
Target: MedicationStatementus-core-medicationus-core-medicationrequest
Composition.section
Slice: problem_section
1..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: problems_entry
-
Reference
Yes
Target: us-core-condition
Composition.section
Slice: results_section
1..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: sliceEntry
-
Reference
Yes
Target: us-core-observation-lab
Composition.section
Slice: social_history_section
1..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: smoking_status_entry
-
Reference
Yes
Target: us-core-smokingstatus
Composition.section
Slice: vital_signs_section
1..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: vital_signs_entry
-
Reference
Yes
Target: vitalsigns
Composition.section
Slice: plan_of_treatment_section
*..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: sliceEntry
-
Reference
-
Target: us-core-goalus-core-medicationrequestus-core-encounterCommunicationAppointmentCommunicationRequestDeviceRequestNutritionOrderTaskServiceRequestVisionPrescriptionRequestGroup
Composition.section
Slice: procedures_section
*..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: procedure_entry
-
Reference
Yes
Target: us-core-procedure
Composition.section
Slice: family_history_section
*..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: family_history_entry
-
Reference
Yes
Target: FamilyMemberHistory
Composition.section
Slice: advance_directives_section
*..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: advance_directive_entry
-
Reference
Yes
Target: Consent
Composition.section
Slice: encounters_section
*..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: encounter_entry
-
Reference
Yes
Target: us-core-encounter
Composition.section
Slice: functional_status_section
*..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: functional_status_entry
-
Reference
Yes
Target: Observation
Composition.section
Slice: immunizations_section
*..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: immunization_entry
-
Reference
Yes
Target: us-core-immunization
Composition.section
Slice: nutrition_section
*..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: nutrition_entry
-
Reference
Yes
Target: NutritionOrderClinicalImpressionObservation
Composition.section
Slice: mental_status_section
*..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: mental_status_entry
-
Reference
Yes
Target: Observation
Composition.section
Slice: medical_equipment_section
*..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry--Yes-
Composition.section.entry
Slice: medical_equipment_entry
-
Reference
Yes
Target: Deviceus-core-procedure
Composition.section
Slice: payers_section
*..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry--Yes-
Composition.section.entry
Slice: coverage_entry
-
Reference
Yes
Target: Coverage
Composition.section
Slice: goals_section
0..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: goals_entry
-
Reference
Yes
Target: us-core-goal
Composition.section
Slice: health_concerns_section
0..1-Yes-
Composition.section.title1..*-Yes-
Composition.section.code1..*-Yes-
Composition.section.text1..*-Yes-
Composition.section.entry----
Composition.section.entry
Slice: health_concerns_entry
-
Reference
Yes
Target: us-core-allergyintoleranceus-core-conditionus-core-observation-labus-core-smokingstatusvitalsignsClinicalImpressionObservationRiskAssessmentListDocumentReference